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Scenario: Linda Pittmon, a 68-year-old female with a history of type 2 diabetes and
hypertension, presents to the clinic with fatigue and increased thirst.
What is the nurse's priority action?
A) Check blood glucose level
B) Administer insulin as prescribed
✔✔C) Assess vital signs and oxygen saturation
D) Provide dietary counseling
Linda's blood glucose is 342 mg/dL. What intervention should the nurse anticipate first?
A) Oral antidiabetic medication
B) Fingerstick glucose test
✔✔C) IV fluid administration
D) Urine ketone dipstick
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, When assessing Linda's feet, the nurse notes a small ulcer on her left heel. What is the most
appropriate action?
A) Apply antibiotic ointment
B) Massage the area
✔✔C) Document findings and notify provider
D) Instruct to soak foot in warm water
Linda's blood pressure is 168/94 mmHg. What nursing intervention takes priority?
A) Administer PRN antihypertensive
✔✔B) Recheck BP in 15 minutes
C) Place in Trendelenburg position
D) Start 24-hour urine collection
The provider orders sliding scale insulin for Linda. What must the nurse verify before
administration?
A) Last bowel movement
✔✔B) Current blood glucose level
C) Hemoglobin A1c result
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